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  • Title: Experience of total wrist arthroplasty with silastic implants plus grommets.
    Author: Rossello MI, Costa M, Pizzorno V.
    Journal: Clin Orthop Relat Res; 1997 Sep; (342):64-70. PubMed ID: 9308526.
    Abstract:
    The experience with radiocarpal joint reconstruction in rheumatoid arthritis using silastic implants and titanium grommets is reported. Forty-one implants were placed in 36 patients from 1986 to 1992, with a followup of 32 implants in 29 patients ranging from 2.5 years to 8 years. After a brief review of the crucial points of the procedure, including indications and surgical technique, the results were examined using a protocol derived from the one proposed in 1988 for an international multicenter study. The procedure, when correct indications are selected and correct surgical steps are performed, allows predictable results with a satisfying recovery of wrist function. Preservation of wrist function through the years seems enhanced by titanium grommets.
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